Individual Healthcare Provider
Oswaldo Giovanni Tagle Manrique, PA-C
Provider's NPPES record last updated: February 4, 2025
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1063057040
- Primary Specialty
- Physician Assistant — Medical
- Practice Location
- Allentown, Pennsylvania
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 20, 2026, 4:38 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Physician Assistant
Medical
Physician Assistants & Advanced Practice Nursing Providers
Definition to come...
Taxonomy code 363AM0700X
Provider-Reported License Information
- Physician Assistant (Pennsylvania)
- MA061118
Practice Locations
Practice Location
1575 Pond Rd Ste 203
Allentown, Pennsylvania 18104-2254
Phone: (610) 366-1366
Additional Practice Location
1200 Mokychic Road
Collegeville, Pennsylvania 19426
Phone: (610) 409-7890
Additional Practice Location
2200 Hamilton St Ste 111
Allentown, Pennsylvania 18104-6329
Phone: (610) 821-8321
Record Information
- Enumeration Date
- November 13, 2019
- Provider's NPPES Record Last Updated
- February 4, 2025
- Certification Date
- February 4, 2025
- NPISignal NPPES Dataset
- August 2026
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